Hhl@'
ilH
muleffr
6frwfr|
/strF
#frirff
ffi,t-
Hu
Da-Yi
RECENT
ADVANCES INTHE
MANAGEMENT OF
HIGH
BLOOD
PRESSURE
ln
1999,
the World
Health
Orga-
nization had already issued guidelines
on
the definition of high blood pressure.
For
adults, the definition
is
>=
140/90
mm
mercury.
For
those with target
organ
damage
(due
to
high
blood
pressure),
the
reference
pressure
should be lower,
at
130/85
and
those
with diabetes,
130/80. lt
is no longer
true
that
lowering the blood pressure
can do harm;
if
blood pressure
is
lowered systematically and
in steps,
the
risk
of
heart attack and stroke
is
actually diminished.
All
electronic
pressure meters must be
calibrated
against
the classical
mercury
ones.
A
prospective
study
in
the
UK showed
that
high blood pressure and
diabetes
co-existed
in
38%.
Satislactory
blood
pressure conlrol reduced the death rate
due to diabetes
50-60%.
All patients
should take
the
drug
prescribed
religiously.
Some oversea neurology
societies recommend the timing for the
reduction of blood pressure to be
1-3
days after a stroke that was due
to
thrombosis (blockage
ol
arteries).
Finally,
take
note
that as
much
as
40-50%
of those with
kidney
failure
were found to have high blood
pressure.
l
eee
+2
tr
,
Efr-'{tu+*E
f*@H'=,*rtuEffigE*'tA
*frflJ
+'Ituttu
ItrlE#TlEi&E
.
,\E+Ft?E*E1EtE, H
aF'
H
ffiftffiE
F.-f+afrT4FE+ft'(*7 rE'ft'Eft,SFE.)6+EH-
"
'a
frlEFt !z't$IE
ffi"
Hffi,qy,ffiffiHmEH,&,4ffi8
>
|
4o
€)K*t+
-
€f
+FE
<
go€)K*t+
"
'ltffiElgH
tLf;+9FE'gHtrJfr.EH.X.
"
gf
ft,d#EffiEIru+FE,Glgffi
EHHFRM.E,,\E+
,'H-=*d.E
ekffi.+.ifr}.'t
,tr#ljmE.g
TY.
"
#€^ffiRffiEIfl+SHF
g
'
,HFEnh{tr,ffi+/iHituE#
VJhffi
"
KEEIH, +€+mE
<t3o/as***tl
,
Z+^rtfr
Blta/soe*ttrt*
"
r
ggg
4tH-4'r#
+-?&ffi,
(
H
-ffi.
/$+Fffi)
4#6
:
(
1)
ffi,+)\ (/ctt
18ffi)
'{qffi,E
>
r4o€)K*+tfl
(Et)
ffi
4E,E>
go
€)K*t*AH-rtu
lS
;
rfu..lE
<:
t3o
/
as
€)K*+t
**ffi.h-TEHHFR
;
frE
<
t2o/
ao
E)<*&H'IE^Ffi-
ls"
e)
Ftd.h4ltuffi *'ED}&#
iRffi'lF
trJ
h
E.'11t,
ZF'!€H
iE*Flt)ffit'€
,tFffiE.m.
E+ffiH+h '
r
?&,Htu
lE
: to-
rss./so-.gs€>Kttrtt
;
2,6&HimIS
:
160-
r7slroo-
ros€
)K*t*;s
&HrtuE;
>tao/,,oE)K*fl "
pJlf'.ffi
ffi
:
(r)
9AAErd*EffiH
l)\frfr|)
#J
fr.FhB
#,
FSE+FE.GI
g
Ffi
A
rtuE
>
t3o
/'s
E)(<*.++e,E
fr,Ffr.,
,H
i++n
H
-m.
I84-+rr ffi
ek
ffi.+
#
n
't.l#.ffi
"
(3)
+FEffiA.lfHmE
ffi '
GiS.trriEF+='3o./eo
€)KtFt+
D,rT
"
(4) Hm.EAl*WrhAA^
4-iE'25/zs*)Kfrt+tjfT
" $)
Z,
+
H
M
E,H,
E
fr<J
W
Iff
tr
ffi
&,4
6IJ
tF,
ffi.W€*o/
so
H,**tttj,(T
"
'RA
Fffi
E+8,'&Xffi/ET
F+
ffi
H
#,,
--tuK-H
Z+-,\.m./E
T
Z<HiE'fE
I
Ft&RSE=effi#H!
"
(6)
EFR
ilffi
ffi
F,
4€FtJ
IE*F, F! K,IISZK
Y ,
Og"IOffJEM.Effi-,\ffiI*Pffi
6H*,/rF+
-
€EE.m.Ee,f*
ro#s-E'H
ge.HRfr +E
6t,H#
"
(3)
(+)
(s)
26
